Most Relevant Information
Provider Data
| NPI Number: | 1003589557 |
| Provider Name: | LESLIE MARIE SANDY LICSW. LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 22066 |
Most Important Dates
| Enumeration Date: | 07/30/2021 |
| Last Updated: | 11/06/2021 |
Provider Practice Location
103 6TH ST NE
LITTLE FALLS
MN
563452854
Practice Location Phone/Fax
| Phone: | 3206323166 |
| Fax: |
Provider Mailing Location
103 6TH ST NE
LITTLE FALLS
MN
563452854
Provider Mailing Phone/Fax
| Phone: | 3206323166 |
| Fax: |